Filter - Med-Dyne

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Inline Bacteria Filters All Inline Bateria Filters Sold in Cases of Five 13 P10 P30 RP458 7305D-608 Description: Final Bacteria Disc Filter 5/16” Straight barb on each side Compatible With: Invacare Mobilaire, Invacare IRC, Oxycon, NideK Mark 4 & 5, DeVilbiss, and BX3000 5 Filters Per Case Description: Final Bacteria Disc Filter 3/16” - 1/4” Stepped barb on each end Compatible With: PB492A, Healthdyne BX5000, PB590, H300, Respironics Millennium, Mallinkrodt 590, 590a, 492a 5 Filters Per Case Description: Intake Filter Compatible With: Inspiration Elite Nebulizer (part # HS-458) Respironics Inspiration (part # 929-4) 5 Filters Per Case Description: Intake Filter Compatible With: DeVilbiss Suction Machine Portable Unit: 7305P-D Stationary Unit: 7305D-D 5 Filters Per Case P20 P40 3655-601 P7178 www.med-dyne.com Description: Final Bacteria Disc Filter 1/4” - 3/8” Stepped barb on each end Compatible With: Newlife, Elite, SeQual, Invacare Platinum V 5 Filters Per Case Description: Suction Machine Bacteria Filter 1/4” - 3/8” Stepped barb, screw mount Compatible With: Schuco 130 & Invacare IRC 1135 5 Filters Per Case Description: Intake Filter Compatible With: Pulmo - Aid Compact 5 Filters Per Case Description: Intake Filter Compatible With: In-line Bacteria Filters 5 Filters Per Case 1-877-MED-DYNE (633-3963) Phone sales@med-dyne.com Email 502-429-6759 Fax
Credit Application I, (we) submit the following information in applying for an open account: 1-877-MED-DYNE (633-3963) Phone sales@med-dyne.com Email 502-429-6759 Fax www.med-dyne.com Business Name ______________________________________ Type of Business ______________________________________ Address ____________________________________________ Shipping Address ______________________________________ City __________________ State ________ Zip ____________ City ____________________ State ________ Zip __________ Phone Number ( )________________________________ Phone Number ( ) ________________________________ Fax Number ( )________________________________ Fax Number ( ) ________________________________ Accounts Payable Contact ______________________________________________________________________________________ COMPLETE APPLICABLE SECTION: Individual Partnership Corporation Subsidiary of Owner’s. Officer’s Director’s or Partner’s Names: 1. __________________________ Address ____________________ City ____________________ State ____ Zip__________ 2. __________________________ Address ____________________ City ____________________ State ____ Zip__________ Year Incorporated ______________ State ______________________ Year in Business __________________________________ Owner’s Social Security __________________________________ PERSONAL GUARANTEE: In consideration for credit extended, the undersigned individual contracts and guarantees to faithful payment, when due, of all accounts of the company seeking credit under this application. The undersigned guarantor expressly waives all notice of acceptance of this guarantee, notice of extension of credit, presenting of demand for payment and any notice of default by the company seeking credit and all other notices the guarantor might be entitled to. Name ______________________________________________ Date ______________ Business Name ____________________________________________ Checking Account # ______________________________ Address __________________________________________________ Savings Account # ______________________________ City ________________________________State______ Zip____________ Phone Number ( ) __________________________ TRADE (1) ____________________________________________ Acct. # ______________________________________________ Address ____________________________ City ______________ State______ Zip __________ Tel. # ( ) ________________ TRADE (2) ____________________________________________ Acct. # ______________________________________________ Address ____________________________ City ______________ State______ Zip __________ Tel. # ( ) ________________ TRADE (3) ____________________________________________ Acct. # ______________________________________________ Address ____________________________ City ______________ State______ Zip __________ Tel. # ( ) ________________ I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT AND AGREE TO THE ABOVE SHOWN. SIGNATURE OF OWNER/PARTNER OR OFFICER DATE AUTHORIZED SIGNATURE OTHER THAN ABOVE DATE Med-Dyne TERMS: Credit Terms are 30 Days from date of invoice. Outstanding balances are subject to 1.5% per month interest. The undersigned authorizes and releases all banks, persons and companies listed on this application. The undersigned agrees to pay all collection costs and legal fees incurred to collect delinquent balances. FIRM NAME: ________________________________________________________________________________________________________________________________ I HEREBY CERTIFY, That I hold valid seller’s permit Number: ________________________________________________________________________________________ issued pursuant to the Sales and Use Tax Law; that I am engaged in the business of selling: ________________________________________________________________ THAT THE TANGIBLE PERSONAL PROPERTY DESCRIBED HEREIN WHICH I SHALL PURCHASE WILL BE RESOLD BY ME IN THE FORM OF TANGIBLE PERSONAL PROPERTY; PROVIDED, HOWEVER THAT IN THE EVENT ANY SUCH PROPERTY IS USED FOR ANY PURPOSE OTHER THAN RETENTION, DEMONSTRATION OR DISPLAY WHILE HOLDING IT FOR SALE IN THE REGULAR COURSE OF BUSINESS, IT IS UNDERSTOOD THAT I AM REQUIRED BY SALES AND USE TAX LAW TO REPORT AND PAY FOR THE TAX, MEASURED BY THE PURCHASE PRICE OF SUCH PROPERTY. Description of property purchased ________________________________________________________________________________ Date ______________ 20 ____ Purchaser: ________________________________________________________________________ By and Title: ____________________________________________________________ Telephone # ( ) __________________ Address ______________________________________________ City______________ State ______ Zip ____________________ 14
Page 1: Filter Kits Foam Filters CPAP Pre-F
Page 4 and 5: Quick Reference Oxygen Concentrator
Page 6 and 7: Foam Filters All Filter Products So
Page 8 and 9: Felt Filters All Filter Products So
Page 10 and 11: CPAP Pre-Filters: (ELECTROSTATIC FI
Page 12 and 13: CPAP Pre-Filters: (FOAM) All Filter
Page 16: Fax/Mail Order Form 15 www.med-dyne

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